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A Statewide Multisource Analysis of Supplemental Oxygen-Related Fires and Burn Injuries
Karla S Klas1,2, Dayan Zorkot3, Michael White3,4
1Michigan Medicine Trauma Burn Center, University of Michigan, Ann Arbor, MI 48109, United States.
Summary
Home oxygen therapy fires, burns, and deaths are significantly underreported. Most incidents, primarily caused by smoking, are preventable, highlighting the need for better data collection and prevention strategies.
Area of Science:
- Public Health
- Injury Prevention
- Medical Device Safety
Background:
- Home oxygen therapy is increasingly common, yet associated injury risks are often overlooked.
- Existing surveillance systems inadequately capture data on oxygen therapy-related incidents.
Purpose of the Study:
- To analyze the incidence of home oxygen therapy-related fires, burns, and deaths.
- To identify systemic barriers in data capture for these incidents.
- To inform improved surveillance and prevention strategies.
Main Methods:
- A retrospective analysis of statewide data from 2020-2023 was conducted.
- Data sources included death certificates, hospital admissions, registries, and fire incident reports.
- Free-text fields were searched, and data were analyzed descriptively.
Main Results:
- Reporting of oxygen therapy incidents was highly inconsistent across all data systems.
- State fire data significantly underreported deaths compared to death certificates and fire inspectors (factor of twenty).
- Hospital admissions for oxygen therapy-related injuries were substantial, representing a significant portion of national data.
Conclusions:
- Home oxygen burns and deaths are underreported in state and national datasets.
- Smoking is the primary ignition source for most preventable incidents.
- Establishing specific injury codes and cohesive prevention strategies is crucial to mitigate this injury burden.
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